Healthcare Provider Details

I. General information

NPI: 1760346563
Provider Name (Legal Business Name): KAREN WEILIANG KANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WEILIANG KANG

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DANTON LN
MULLICA HILL NJ
08062-4728
US

IV. Provider business mailing address

10 DANTON LN
MULLICA HILL NJ
08062-4728
US

V. Phone/Fax

Practice location:
  • Phone: 706-202-1432
  • Fax:
Mailing address:
  • Phone: 706-202-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.300897
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: